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NPI Code Detail

MEDICARE: LAURA ANN CARWELL LPC

MEDICARE: LAURA ANN CARWELL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor3414OK

General Provider Information

NPI Number : 1093919128
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ANN CARWELL LPC
Provider Business Mailing Address
First Line : 3960 HILLSIDE DR
Second Line :
City : SAPULPA
State : OK
Zip : 74066-8944
Country : US
Telephone Number : 918-519-9337
Fax Number :
Provider Business Practice Location Address
First Line : 7633 E 63RD PL STE 300
Second Line :
City : TULSA
State : OK
Zip : 74133-1202
Country : US
Telephone Number : 918-519-9337
Fax Number : 918-747-7668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2007
Last Update Date : 01/28/2024

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Directions to “ LAURA ANN CARWELL LPC” Practice Location

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